Home Hospice RN Case Manager

7 days ago

Green Bay, Wisconsin, United States Advocate Health Full time
Job Summary

We are seeking a skilled and compassionate RN Case Manager to join our team at Advocate Health. As a RN Case Manager, you will be responsible for providing high-quality patient care and coordinating services to support terminally ill patients and their families in all hospice settings.

Key Responsibilities
  • Identify and coordinate patient/family care to support terminally ill patients and families in all hospice settings.
  • Utilize teaching, assessment, and intervention skills to provide comfort care at end of life and maximize the quality of life for patients and families.
  • Educate patients and families regarding disease processes and trajectory, disease management, hospice philosophies, signs and symptoms of decline and end of life.
  • Update the primary physician as indicated and according to agency, accreditation, state and federal requirements.
  • Responsible for continuous review of all aspects of every patient of her/his caseload to include appropriate utilization of services and the appropriate hospice level of care criteria are met.
  • Makes referrals to other team members as appropriate.
  • Administers medication and treatments as prescribed by the physician.
  • Leads the interdisciplinary care group (IDG) specific to each patient and family on their caseload.
  • Working within the IDG to develop, revise, and implement the patient's Plan of Care.
  • Coordinates all services and collaborates with members of the interdisciplinary team to provide consistent patient care.
  • Arranges for and/or recommends equipment, medical supplies and other necessary items and services as indicated.
  • Enters, completes and updates documentation in the electronic health record as required according to agency/department standards and policies, accreditation, state and federal guidelines.
  • Documentation accurately records the patient's experience with a combination of assessments and narrative.
  • Provides on-going assessment of patient response to treatments, medications and teaching while making appropriate changes in interventions and follow-up to meet patient needs.
  • Updates and revises POC as indicated with supportive documentation to changes.
  • Communicates problems and changes in condition to physicians, supervisor and other members of the IDG.
  • Enters verbal orders from the physician or APN into the Electronic Health Record.
  • Supervises and performs Home Health Aide and licensed practical nurse supervisory visits according to agency standards.
  • Instructs paraprofessional staff on a timely basis and in accordance with agency, state and federal regulations.
  • Facilitates the discharge planning process according to agency standards and utilizes interagency/system and community resources to assure continuity of care after discharge.
Requirements
  • Registered Nurse license issued by the state in which the team member practices.
  • Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA).
  • A valid driver's license issued by the Division of Motor Vehicles.
  • Completion of an accredited or approved program in Nursing.
  • Typically requires 1-2 years of experience in nursing that includes experiences in home health, hospice, medical/surgical, long term care, emergency care/ICU or oncology or similar related experience.

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